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ID

44153

Description

2012 ACCF / AHA Data Standard Chronic Mesenteric Artery Disease data elements see http://www.ncbi.nlm.nih.gov/pubmed/22144570

Link

http://www.ncbi.nlm.nih.gov/pubmed/22144570

Keywords

  1. 11/4/14 11/4/14 - Martin Dugas
  2. 11/11/14 11/11/14 - Martin Dugas
  3. 11/12/14 11/12/14 - Martin Dugas
  4. 11/12/14 11/12/14 - Martin Dugas
  5. 4/13/21 4/13/21 - Dr. rer. medic Philipp Neuhaus
  6. 9/20/21 9/20/21 -
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September 20, 2021

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License

Creative Commons BY-NC 3.0 Legacy

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    Chronic Mesenteric Artery Disease data elements

    Chronic Mesenteric Artery Disease data elements

    Patient history
    Description

    Patient history

    Alias
    UMLS CUI-1
    C0679831
    Risk Factors Atherosclerosis
    Description

    Known atherosclerosis in any vascular territory

    Data type

    text

    Symptoms suggestive of mesenteric ischemia
    Description

    Symptoms suggestive of mesenteric ischemia ● Abdominal fullness, bloating, discomfort after eating that ultimately results in “fear of food” ● Weight loss, anorexia, failure to thrive ● All associated with presence of atherosclerosis in other vascular beds or the presence of cardiac dysrhythmia (ie, atrial fibrillation) or severe left ventricular dysfunction

    Data type

    text

    Postprandial abdominal pain
    Description

    Pain, bloating, early satiety following ingestion of food and/or liquids

    Data type

    boolean

    Alias
    UMLS CUI-1
    C0740589
    Fear of eating
    Description

    Avoidance of eating because of predictable abdominal pain, often resulting in more frequent eating of small amounts of food

    Data type

    boolean

    Alias
    UMLS CUI-1
    C0919597
    Weight loss
    Description

    Specify amount of weight loss

    Data type

    float

    Measurement units
    • kg
    Alias
    UMLS CUI-1
    C1262477
    kg
    Malnutrition
    Description

    The patient manifests malnutrition because of inadequate caloric intake to meet metabolic demands, as well as dehydration.

    Data type

    boolean

    Alias
    UMLS CUI-1
    C0162429
    Malabsorption/steatorrhea
    Description

    ● Diarrhea ● Oily stool ● Floating stool

    Data type

    boolean

    Alias
    UMLS CUI-1
    C0024523
    Physical examination
    Description

    Physical examination

    Alias
    UMLS CUI-1
    C0031809
    Body habitus
    Description

    Describe the patient’s body habitus

    Data type

    integer

    Alias
    UMLS CUI-1
    C1318474
    Aortic diameter
    Description

    Estimate abdominal aortic diameter by palpation

    Data type

    float

    Measurement units
    • cm
    Alias
    UMLS CUI-1
    C0579133
    cm
    Abdominal bruit
    Description

    Indicate the presence of abdominal bruit

    Data type

    boolean

    Alias
    UMLS CUI-1
    C0221755
    Digital rectal examination
    Description

    Examine the lower rectum to check for abnormalities in the rectum and stool (hemoccult).

    Data type

    text

    Alias
    UMLS CUI-1
    C1384593
    Stool testing for occult blood
    Description

    Occult blood present?

    Data type

    boolean

    Alias
    UMLS CUI-1
    C0201811
    Laboratory Testing
    Description

    Laboratory Testing

    Alias
    UMLS CUI-1
    C0022885
    Amylase
    Description

    Amylase Indicate the following: ● Date of test ● Value ● Unit of measurement ● Normal range

    Data type

    float

    Alias
    UMLS CUI-1
    C0201883
    Lipase
    Description

    Lipase Indicate the following: ● Date of test ● Value ● Unit of measurement ● Normal range

    Data type

    float

    Alias
    UMLS CUI-1
    C0523940
    Stool fat content
    Description

    Stool fat content ● Microscopic: Indicate the number of stainable lipid globules per high-powered microscope field. ● Gravimetric: Indicate the collection period (number of days), reference range, and test result in grams of lipid per 24 h. ● Titrimetric

    Data type

    float

    Alias
    UMLS CUI-1
    C0202012
    Fecal occult blood
    Description

    Fecal occult blood present?

    Data type

    boolean

    Alias
    UMLS CUI-1
    C0201811
    Noninvasive Diagnostic Procedures
    Description

    Noninvasive Diagnostic Procedures

    Alias
    UMLS CUI-1
    C0259832
    Mesenteric Artery Duplex Ultrasound
    Description

    Mesenteric Artery Duplex Ultrasound Date of procedure Operator name Peak systolic velocity measurements ● Aorta ● Celiac artery ● Superior mesenteric artery ● Inferior mesenteric artery Ratio of mesenteric artery to aorta peak systolic velocities: Record ratio for celiac, superior mesenteric, and inferior mesenteric arteries. Location of stenosis: ● Celiac artery ● Superior mesenteric artery ● Inferior mesenteric artery Category of stenosis: Specify for celiac, superior mesenteric, and inferior mesenteric arteries. Choose 1 of the following: ● 0–69% ● 70%–99% ● Occlusion

    Data type

    text

    Computed Tomographic Angiography
    Description

    Computed Tomographic Angiography Date of procedure Contrast used: ● Ionic contrast ● Nonionic contrast; specify: — Monomer — Dimer Contrast volume [ml] Artery imaged: ● Celiac artery ● Superior mesenteric artery ● Inferior mesenteric artery Location of stenosis Artery stenosis:Indicate the severity of stenosis by quantitative analysis using the formula 100x(1-minimum lumen diameter)/maximum diameter of reference segment Aneurysm: Dilation of a mesenteric artery to a diameter >=1.5 times the nondilated diameter Thickening of the small or large bowel wall: yes/no Free air in the abdomen: yes/no Mesenteric venous thrombosis: Patent venous opacification of the superior mesenteric vein and portal vein Pneumatosis coli: yes/no

    Data type

    text

    Alias
    UMLS CUI-1
    C1536105
    Magnetic Resonance Angiography
    Description

    Magnetic Resonance Angiography Date of procedure Contrast use: yes/no Artery imaged: ● Celiac artery ● Superior mesenteric artery ● Inferior mesenteric artery Location of stenosis Artery stenosis: Indicate the severity of stenosis by quantitative analysis using the formula 100x(1-minimum lumen diameter)/maximum diameter of reference segment Aorta: Identify atherosclerosis, stenosis, occlusion, and/or aneurysm of the abdominal aorta. Thickening of the small or large bowel wall: yes/no Free air in the abdomen: yes/no Mesenteric venous thrombosis: Patent venous opacification of the superior mesenteric vein and portal vein Pneumatosis coli: yes/no

    Data type

    text

    Alias
    UMLS CUI-1
    C0243032
    Diagnostic Testing: Invasive procedures
    Description

    Diagnostic Testing: Invasive procedures

    Alias
    UMLS CUI-1
    C0430022
    UMLS CUI-2
    C0205281
    Catheter-Based Angiography
    Description

    Date of procedure Operator name Artery imaged: ● Celiac artery ● Superior mesenteric artery ● Inferior mesenteric artery Artery stenosis: Indicate the severity of stenosis by quantitative analysis using the formula 100x(1-minimum lumen diameter)/maximum diameter of reference segment Aorta: Identify atherosclerosis, stenosis, occlusion, and/or aneurysm of the abdominal aorta. Diffuse vasospasm: Indicate the presence or absence of vasospasm consistent with nonocclusive mesenteric ischemia. Mesenteric venous thrombosis: Indicate whether the superior mesenteric vein and portal vein are patent or occluded by thrombus.

    Data type

    text

    Alias
    UMLS CUI-1
    C0002979
    Treatment: Invasive Therapeutic Procedures
    Description

    Treatment: Invasive Therapeutic Procedures

    Alias
    UMLS CUI-1
    C0087111
    Mesenteric Artery Angioplasty Stenting
    Description

    Date of procedure Operator name Angioplasty/stenting Choose one: ● Balloon angioplasty alone ● Stent Balloon length [mm] Nominal balloon diameter: Indicate the diameter of the balloon at initial inflation and final inflation in millimeters. How many stents used (per artery)? ● 1 ● >1 Stent type: ● Balloon expandable ● Self-expanding ● Drug eluting ● Covered Stent brand name: Identify the brand name of the stent used. Stent model: Identify the model number of the stent used. Stent manufacturer Identify the manufacturer of the stent used. Stent length Indicate the length of the stent used in millimeters. Stent diameter Indicate the diameter of the stent used in millimeters. Target mesenteric artery Indicate whether the target vessel for the procedure is the celiac, superior mesenteric, and/or inferior mesenteric artery. Current procedure part of clinical trial Indicate whether the procedure is part of a clinical trial. Choose 1 of the following: ● Yes — If yes, indicate the trial type: X IDE X Postmarket approval X Other (specify) ● No Anesthesia Indicate if the patient received general anesthesia, conscious sedation, local anesthesia, or no anesthesia during the current procedure. Procedure Indications and Anatomic Variables Clinical indication ● Symptoms of mesenteric ischemia ● Weight loss ● Malnutrition ● Other Restenosis in target vessel after prior mesenteric artery stent Note if the indication for the current procedure is restenosis in the target mesenteric artery that was previously treated with angioplasty and/or a stent. Contrast volume Indicate the volume of iodinated contrast injected during the procedure in milliliters. Fluoroscopy time Indicate the total fluoroscopy time recorded during the procedure to the nearest 0.10 min. The time recorded should include the total time for the procedure. Procedure arterial access site Indicate the primary arterial access site used to perform the mesenteric artery stenting procedure. Note the location (right/left): ● Femoral ● Brachial ● Radial ● Axillary Arterial access closure method ● List methods and devices in chronological order of closure. ● Indicate the method used to achieve hemostasis: — Device — Nondevice (such as manual compression) Lesions Target lesion location Indicate the location of the target lesion. Visible thrombus present Indicate if the target lesion contains thrombus as assessed by baseline angiography and implied by the presence of filling defect. Calcification: Indicate if calcification is present. If present, specify the location. Choose 1 of the following: ● None ● Mild ● Moderate ● Severe Lesion length Indicate the length of the target lesion in millimeters as assessed by baseline angiography. Minimal luminal diameter Indicate the MLD of the target lesion in millimeters as assessed by baseline angiography. Diameter of distal mesenteric artery Indicate the diameter of the nontapering distal segment of the mesenteric artery measurement at the intended landing zone of the distal edge of the stent. Preprocedure percent stenosis of mesenteric artery: Indicate the severity of stenosis by quantitative analysis using the formula 100x(1-minimum lumen diameter)/maximum diameter of reference segment Lesion treatment incomplete or aborted: Indicate if the lesion treatment was incomplete or aborted. Choose 1 of the following: ● Yes — If yes, note reasons: X Failure to gain vascular access. X Failure to engage ostium with guide catheter X Unable to cross with guidewire X Unable to deploy stent X Failure to confirm significant stenosis X Unable to cross balloon X Cardiac ischemia X Unable to deploy device X Hypotension X Hypertension X Unable to deliver stent X Other ● No Embolic protection attempted: Indicate if the operator tried to use an EPD: ● Yes — If yes, indicate if predilatation before balloon or stent was performed or not. — If yes, list EPD in chronological order. Note if successfully deployed. ● No Stent malposition Indicate if the stent was deployed in a location or position other than that for which it was intended. Final minimal luminal diameter Indicate the final residual lumen diameter in millimeters. Final percent stenosis of mesenteric artery Indicate the severity of stenosis by quantitative analysis using the formula 100x(1-minimum lumen diameter)/maximum diameter of reference segment How many stents used (per artery)? ● 1 ● >1

    Data type

    text

    Surgical revascularization
    Description

    Aortomesenteric Bypass Graft Surgery Date of procedure Proximal anastomosis: Indicate the location of proximal anastomosis with graft (ie, supraceliac aorta, iliac artery). Distal anastomosis: Indicate the location of distal anastomosis with graft (ie, mid-celiac artery, mid-SMA). Conduit: Indicate the type of graft material used for bypass (eg, synthetic, autologous). Mesenteric Endarterectomy Date of procedure

    Data type

    text

    Alias
    UMLS CUI-1
    C0581603
    Outcomes of Endovascular/Open Surgical Procedures
    Description

    Outcomes of Endovascular/Open Surgical Procedures

    Alias
    UMLS CUI-1
    C0085565
    Outcome Time point
    Description

    Indicate the period at which outcome measures are assessed

    Data type

    integer

    Alias
    UMLS CUI-1
    C2986292
    Complications of endovascular procedure
    Description

    Indicate postoperative clinical events or conditions associated with an endovascular procedure. Choose all that apply: ● Pseudoaneurysm ● AV fistula ● Hematoma ● Dissection ● Vessel thrombosis ● Vessel perforation ● Atheromatous embolization ● Contrast nephropathy ● Contrast hypersensitivity ● Infection ● Requirement of intervention to prevent permanent impairment/damage

    Data type

    text

    Alias
    UMLS CUI-1
    C0009566
    UMLS CUI-2
    C2936204
    Complications of open surgery
    Description

    Indicate complications of open surgery. Choose all that apply: ● Major complication: — Death — MI (also see cardiovascular complications below) — Stroke (ischemic, hemorrhagic, unknown type) ● Other life-threatening major complication (specify): — Prolonged hospitalization — Persistent or significant disability or incapacity — Vessel thrombosis — Vessel rupture — Seroma — Hematoma — Renal failure — Bowel infarction — Other end-organ damage — Pneumonia — DVT — Graft thrombosis — Atheromatous embolization — Requirement of intervention to prevent permanent impairment/damage — Infection ● Minor complication (specify)

    Data type

    text

    Alias
    UMLS CUI-1
    C0009566
    UMLS CUI-2
    C0348025
    Total length of stay
    Description

    Indicate the length of stay in the hospital in number of days.

    Data type

    integer

    Measurement units
    • days
    Alias
    UMLS CUI-1
    C0023303
    days
    Discharge status
    Description

    Indicate the patient’s discharge status. Choose 1 of the following: ● Discharged to home or self-care — This includes discharge to home; jail or law enforcement; home on oxygen if DME only; any other DME only; group home, foster care, and other residential care arrangements; outpatient programs such as partial hospitalization or outpatient chemical dependency programs; assisted living facilities that are not state designated. ● Discharged/transferred to short-term general hospital for inpatient care ● Discharged/transferred to an SNF with Medicare certification in anticipation of skilled care ● Discharged/transferred to an ICF ● Discharged/transferred to standard rehabilitation facility ● Discharged/transferred to ventilator rehabilitation facility ● Discharged/transferred to another type of healthcare institution other than the above ● Patient died

    Data type

    text

    Alias
    UMLS CUI-1
    C0586514
    Patient education/Counseling
    Description

    Patient education/Counseling

    Alias
    UMLS CUI-1
    C0030688
    Medication instruction
    Description

    Verbal and written medication instructions provided to patient and/or family

    Data type

    text

    Alias
    UMLS CUI-1
    C2064717
    Recognition of new or worsening symptoms
    Description

    Verbal and written instructions provided to patient and/or family (by physician or nurse) regarding new or worsening symptoms and when to call the physician

    Data type

    text

    Diet counseling
    Description

    Advice given or discussion held with patient and/or family about diet counseling in relation to lowering cardiovascular risk. May include ● Sodium restriction ● Fluid restriction ● Referral to dietitian for weight management and/or advanced nutritional instruction. ● Other (specify)

    Data type

    text

    Alias
    UMLS CUI-1
    C0204932
    Smoking cessation counseling
    Description

    Advice given or discussion held with patient (by physician, nurse, or other personnel) about the importance of stopping smoking. May include ● Counseling (may be basic or advanced) ● Written materials ● Referral to smoking cessation program ● Drugs to help with smoking cessation

    Data type

    text

    Alias
    UMLS CUI-1
    C1095963
    Activity counseling
    Description

    Advice given or discussion held with patient and/or family about activity level and restrictions in activity and/or exercise recommendations

    Data type

    text

    Follow-up
    Description

    Follow-up

    Alias
    UMLS CUI-1
    C1522577
    Follow-Up Open repair
    Description

    Documentation of evaluation of patient following discharge. Indicate all of the following that apply: ● Physical examination ● Imaging (eg, ultrasound, MR, CT)

    Data type

    text

    Follow-Up Endovascular
    Description

    Documentation of evaluation of patient after discharge. Indicate all of the following that apply ● Physical examination ● Imaging (eg, ultrasound, MR, CT)

    Data type

    text

    Clinical outcomes
    Description

    Clinical outcomes

    Alias
    UMLS CUI-1
    C0085565
    Time point of outcome
    Description

    Indicate the period at which outcome measures are assessed. Choose all that apply: ● 1 mo ● 3 mo ● 6 mo ● 1 y

    Data type

    text

    Alias
    UMLS CUI-1
    C2986292
    Patient assessment
    Description

    Assess recurrent signs and symptoms of mesenteric disease: ● Appetite ● Caloric intake ● Nutritional status ● Presence or absence of postprandial abdominal pain ● Food avoidance/tolerance ● Weight loss/gain

    Data type

    text

    Alias
    UMLS CUI-1
    C0679830
    Adverse events
    Description

    Adverse events

    Data type

    integer

    Alias
    UMLS CUI-1
    C0877248

    Similar models

    Chronic Mesenteric Artery Disease data elements

    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Patient history
    C0679831 (UMLS CUI-1)
    Risk Factors Atherosclerosis
    Item
    Risk Factors Atherosclerosis
    text
    Symptoms suggestive of mesenteric ischemia
    Item
    Symptoms suggestive of mesenteric ischemia
    text
    Abdominal pain, postprandial
    Item
    Postprandial abdominal pain
    boolean
    C0740589 (UMLS CUI-1)
    Fear of eating
    Item
    Fear of eating
    boolean
    C0919597 (UMLS CUI-1)
    Weight loss
    Item
    Weight loss
    float
    C1262477 (UMLS CUI-1)
    Malnutrition
    Item
    Malnutrition
    boolean
    C0162429 (UMLS CUI-1)
    Malabsorption
    Item
    Malabsorption/steatorrhea
    boolean
    C0024523 (UMLS CUI-1)
    Item Group
    Physical examination
    C0031809 (UMLS CUI-1)
    Item
    Body habitus
    integer
    C1318474 (UMLS CUI-1)
    Code List
    Body habitus
    CL Item
    Thin (1)
    CL Item
    Normal (2)
    CL Item
    Obese (3)
    Aortic diameter
    Item
    Aortic diameter
    float
    C0579133 (UMLS CUI-1)
    Abdominal bruit
    Item
    Abdominal bruit
    boolean
    C0221755 (UMLS CUI-1)
    Digital rectal examination
    Item
    Digital rectal examination
    text
    C1384593 (UMLS CUI-1)
    Stool testing for occult blood
    Item
    Stool testing for occult blood
    boolean
    C0201811 (UMLS CUI-1)
    Item Group
    Laboratory Testing
    C0022885 (UMLS CUI-1)
    Amylase
    Item
    Amylase
    float
    C0201883 (UMLS CUI-1)
    Lipase
    Item
    Lipase
    float
    C0523940 (UMLS CUI-1)
    Stool fat content
    Item
    Stool fat content
    float
    C0202012 (UMLS CUI-1)
    Fecal occult blood
    Item
    Fecal occult blood
    boolean
    C0201811 (UMLS CUI-1)
    Item Group
    Noninvasive Diagnostic Procedures
    C0259832 (UMLS CUI-1)
    Mesenteric Artery Duplex Ultrasound
    Item
    Mesenteric Artery Duplex Ultrasound
    text
    Computed Tomographic Angiography
    Item
    Computed Tomographic Angiography
    text
    C1536105 (UMLS CUI-1)
    Magnetic Resonance Angiography
    Item
    Magnetic Resonance Angiography
    text
    C0243032 (UMLS CUI-1)
    Item Group
    Diagnostic Testing: Invasive procedures
    C0430022 (UMLS CUI-1)
    C0205281 (UMLS CUI-2)
    Catheter-Based Angiography
    Item
    Catheter-Based Angiography
    text
    C0002979 (UMLS CUI-1)
    Item Group
    Treatment: Invasive Therapeutic Procedures
    C0087111 (UMLS CUI-1)
    Mesenteric Artery Angioplasty Stenting
    Item
    Mesenteric Artery Angioplasty Stenting
    text
    Revascularization
    Item
    Surgical revascularization
    text
    C0581603 (UMLS CUI-1)
    Item Group
    Outcomes of Endovascular/Open Surgical Procedures
    C0085565 (UMLS CUI-1)
    Item
    Outcome Time point
    integer
    C2986292 (UMLS CUI-1)
    Code List
    Outcome Time point
    CL Item
    Periprocedure (24 h) (1)
    CL Item
    Procedure related (30 d) (2)
    CL Item
    3 mo (3)
    CL Item
    6 mo (4)
    CL Item
    1 y (5)
    Complications of endovascular procedure
    Item
    Complications of endovascular procedure
    text
    C0009566 (UMLS CUI-1)
    C2936204 (UMLS CUI-2)
    Complications of open surgery
    Item
    Complications of open surgery
    text
    C0009566 (UMLS CUI-1)
    C0348025 (UMLS CUI-2)
    Total length of stay
    Item
    Total length of stay
    integer
    C0023303 (UMLS CUI-1)
    Discharge status
    Item
    Discharge status
    text
    C0586514 (UMLS CUI-1)
    Item Group
    Patient education/Counseling
    C0030688 (UMLS CUI-1)
    Medication instruction
    Item
    Medication instruction
    text
    C2064717 (UMLS CUI-1)
    Recognition of new or worsening symptoms
    Item
    Recognition of new or worsening symptoms
    text
    Diet counseling
    Item
    Diet counseling
    text
    C0204932 (UMLS CUI-1)
    Smoking cessation counseling
    Item
    Smoking cessation counseling
    text
    C1095963 (UMLS CUI-1)
    Activity counseling
    Item
    Activity counseling
    text
    Item Group
    Follow-up
    C1522577 (UMLS CUI-1)
    Follow-Up Open repair
    Item
    Follow-Up Open repair
    text
    Follow-Up Endovascular
    Item
    Follow-Up Endovascular
    text
    Item Group
    Clinical outcomes
    C0085565 (UMLS CUI-1)
    Time point of outcome
    Item
    Time point of outcome
    text
    C2986292 (UMLS CUI-1)
    Patient assessment
    Item
    Patient assessment
    text
    C0679830 (UMLS CUI-1)
    Item
    Adverse events
    integer
    C0877248 (UMLS CUI-1)
    Code List
    Adverse events
    CL Item
    Recurrent bowel ischemia/infarction (1)
    CL Item
    Repeat revascularization (2)
    CL Item
    Bowel resection (3)
    CL Item
    MI (4)
    CL Item
    Stroke (ischemic, hemorrhagic, unknown type) (5)
    CL Item
    Other adverse event (6)
    CL Item
    Death (7)

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